Hussein Abdulaziz, Gareeballah Awadia, Hamd Zuhal Y, Elzaki Maisa, Abouraida Raga Ahmed, Eltahir Mohamed Abdalla, Khogaly Mariam, Alsharif Walaa, Hamad Ali A
University of Medical Science and Technology, Graduate College, Khartoum, Sudan.
Department of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.
Radiol Case Rep. 2024 Sep 4;19(11):5513-5518. doi: 10.1016/j.radcr.2024.07.196. eCollection 2024 Nov.
Secondary Sjogren's syndrome (sSS) is a medical condition that occurs in individuals with autoimmune diseases such as systemic lupus erythematosus (SLE) and rheumatoid arthritis. It predominantly affects females rather than males. We present a case of a 32-year-old female with a 3-year history of rheumatoid arthritis (RA) who presented to the internal medicine and rheumatology clinic with several complaints, including swelling and tenderness in her left jaw, dry mouth (xerostomia), irritated eyes (xerophthalmia), severe joint pain, and a decreased in saliva production. The blood tests demonstrate the presence of anti-SSA and anti-SSB autoantibodies and elevation of total leukocyte count (TLC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) levels, indicating inflammation. A high-frequency ultrasound confirmed the diagnosis of Secondary Sjogren's syndrome grade II, specifically affecting the left parotid gland (PG).
继发性干燥综合征（sSS）是一种发生于患有自身免疫性疾病（如系统性红斑狼疮（SLE）和类风湿关节炎）的个体的病症。它主要影响女性而非男性。我们报告一例32岁女性病例，该患者有3年类风湿关节炎（RA）病史，因多种症状前往内科和风湿病诊所就诊，包括左颌肿胀和压痛、口干（口干燥症）、眼涩（干眼症）、严重关节疼痛以及唾液分泌减少。血液检查显示存在抗SSA和抗SSB自身抗体，总白细胞计数（TLC）、红细胞沉降率（ESR）和C反应蛋白（CRP）水平升高，提示有炎症。高频超声确诊为二级继发性干燥综合征，具体累及左侧腮腺（PG）。
